all of the back-office work will be provided by hsa. questions about physically if they need to be close to those back-office functions or if they could be elsewhere. and we also want to be able to provide them a nice rent-a free facility that the city can support. 1650 mission has come up. maybe that is a first-year consideration and then may be potentially have them move over to fox plaza after that. we are thinking about that next part of the work as well. supervisor avalos: we can get an update on that. thank you. >> if there are no questions. supervisor chu: thank you. is there anyone from the public that would like to comment on this item? >> good morning, budget and finance. is there anyone from the public that would like to comment on this item? seeing none, public comment is closed. i am picking up good vibrations in early education. i am picking a good vibrations. good vibrations and early education. i am picking up good vibrations in the early education maybe you will say some and you will have a big money some and you are no

i fully support the ece with the central office being housed at hsa. i have gained a fully -- full understanding of the needs of the community. every city government has personality shenanigans come and i know our city is no different, but what has unfolded in this process has affected negatively and the multi-department systems do not serve the very children and parents in the best way we can. there have been several mysteries put forward by some affected stakeholders. we no change, even when it is obviously the smart thing to do can be difficult, but like many of their current policy landscapes, a minority of the community has repeatedly attempted to undermine forward- thinking change by using tactics. for example, child care, early childhood education is not education come and we need to keep these things separate. this is a silly idea to me. the second, community input. after three years we have had many opportunities and venues to bring people together with them as they calder's through the community, yet repeatedly it has been said that we have n

are best practices that can best inform the work that director mendoza will lead leadfirst 5, dcyf, hsa, and the school district. i hope the supervises include the philanthropic sector that is committed to support an early education for low-income children, and for children and their families throughout the city. we are here to be a part of this. thank you. supervisor chu: thank you. >> good morning, supervisors chu, kim, and avalos. thank you for allowing me and us to have this opportunity to speak. i am here for two quick issues. one, loudly and clearly, for the creation for the office of early childhood education. thank you, supervisor avalos, for the stress on independence. i think that is probably the crowning glory for this office, because this way, hopefully, we can digress from some of the difficulty this field has had over the past few years, and come together for the good of the children and families of san francisco. i was part of the initial task force for the three years meetings we have done. supervisor avalos has shown great leadership in taking this forward. it has not a

hsa is driving the department told -- department all savings. -- departmental savings. we have $2.9 million in savings across the other departments in the city. as i mentioned a minute ago, the report does touch on other funds in the city and some of these are listed here. you can see generally speaking, the starting balances in most of our funds at the beginning of this fiscal year are now growing in our estimated ending fund balance is across different funds in the city and that is good news overall. again, a sign of our strengthening economy. the building inspection fund, convention facilities fund, the airport fund, the port fund, the puc are all generally outperforming their current year budget which means there will end the year better than they started it. financially speaking. of note, i will highlight on the page is the mta. the mta had began the year with approximately $25 million in fund balance. we're expecting them to exceed their budgeted revenue by about $14 million which will mean that the end the year with $39.20 million in fund balance. the department

hsas is established under federal law the data is not owned by the employer. and, in fact, in most cases, only one of the insurance carriers is structuring their products so that they can actually can do an analysis that includes what is being spent out of the health savings account. and even with them, because the law allows the employee to move the hsa provider bank and then there's no reporting back is the vast majority of research to date excludes from analysis what is being spent out of health savings accounts, and treats that spending as not occurring. so, the data on that whole area is exceedingly dirty. >> comments anybody? okay, let's see michael barr is next. >> thanks susan, i'm going to go in a slightly different direction. it's been ee freshing that we've been in a meeting about 2 1/2 hours on the role of technology and chronic conditions and nobody has mentioned the phrase meaningful use, which is nice, but i'm about to change this. i have a question for the panel, and full disclosure i'm on the health i.t. policy committee and their four subgrou

you heard hsa has already submitted a proposal to not cut some very valuable funding that we had for seniors. we are listening to our director tonight to make sure we pay attention to that. he is watching us like a hawk, make sure we do not say anything different, but at the same time, we will try to figure out other things that we need as a city. we need to invest in public safety. all of us have been around. i'm not getting any younger. neither is our police force. captain goldberg, thank you very much for being here today. his cohorts are younger. they will be here, but we need to move on, so we've got to make room for classes for our training. we also are paying attention to families. we are working very hard to create family-friendly policy that will lead to good investments in our city. by the way, i know you said may be giving away to some rich folks. i turned to my supervisor -- did we give some money to larry ellison i did not know about or to twitter? ok, but we are raising that money in the private sector. to cover our costs for america's cup. that is why we have recreatio

you do this work with high assume the department of public health, is this actually strictly through hsa? >> the bifurcation on the delivery of medical is the couty nty agency that determines eligibility whereas the services -- but we have to shift them over to meticadical. it will be on the front end. in addition, our office is at 1235 mission, and we think that through technology, we can potentially a lemonade or close the building and serve the population in the current facility. we are in the exploratory phase, but it is a hefty lease cost for us. we are, again, exploring that. supervisor chu: a city facility? >> it's owned by the school district. the contract of savings, we are proposing to increase that to 1 million. the idea is not to reduce services but to capture savings that will accrue for community partners. there are seven more positions. any further questions on that? i want to highlight, briefly, the mayor's emphasis on jobs is one of the highest if not the highest priority. we have a very large jobs program that has been proven very successful with the federal stimulus ha

an hsa doesn't mean you go uninsured.u buy a high deductible health plan, which should be seriously cheaper than the amount of money that you're paying now. and the deductible should not be a lot higher than the deductible you have now. i want you to go to e-health insurance and look for one of those. and also understand it's just two of you. in your state, two of you actually qualify to be a small business. and that comes with tax deductions. so, you can also look not just at individual and family policies, but at small business policies, that may bring the cost down, as well. i think you can find something to save you a lot of money. >> thank you. >> great advice to all of you guys. thank you, thanks to all who wrote in or e-mailed us or on the phone with us. thanks. >>> coming up next, what your stomach is trying to tell you. five common ailments you should know more about. and then later, simplifying your style from day to night. effortless looks after these messages. ( telephone rings ) hi, honey. how's the camping t

hsa's has established under federal law, the data is not owned by the employer.and, in fact, in most cases only one of the insurance carriers in structuring their products so that they actually can do an analysis that includes what is being spent out of the health savings account. and even within because the law allows the employee to move the hsa provider bank, and then there's no reporting back, is the vast majority of the research to date, excludes from analysis what is being spent out of health savings account and treats that spending as not occurring. so the data on that whole area is exceedingly dirty. >> comments coming anybody? >> okay, let's see, i think michael barr is next. >> thanks susan but i'm going to go in a slightly different direction if that's okay. it's been refreshingly sunny that we been enemy about two and half hours on the role of technology, chronic conditions and no one has mentioned the phrase meaningful use, which is nice but i'm about to change the. i've a question for the panel. in full disclosure i'm on health i.t. policy committee

you take the money you put into an hsa and it's tax deductible.an be taken out tax free for any medical, dental or vision expensions. the gains are going to grow tax deferred. susan john of the national association of personal financial advisers said this is an additional cushion for your nest egg. >> our whole health care system is so uncertain. and having a pool of money that you can use to bridge the gap between an early retirement and the availability of medicare to cover insurance premiums during that period of time is just a real sleep at night technique. >> here's another strategy to ease the anxiety. that is dealing with long-term care. you don't want to have any unexpected costs there. opt for a ten pay long term care plan. this will allow you to pay off that long term care policy in ten years. you toent have to worry about premiums going up ever because you're done paying. >> i don't know whether to feel sensitive or happy about that 50 and 55 stuff in your report, sharon. >>> let's talk a little bit about research in motion. it has now

of the members of the community, whether it is wells fargo, the intra-faith council, the staff from hsa and public health, they are all here. i know they are feeling some really great bribes -- great vibes because of the announcements we have to make. it has never been about a campaign for an election. it has always been about a campaign to improve lives. i will take you back to a moment a few months ago. let's get things done. no, let's get things done better. [laughter] i saw that in the middle of the night and thought that it worked. that was really good. bevan and i already knew we had a great director. little did we know we would have an opportunity to have the director of great programs that we want him to be in charge of in this administration. i have said all along that we need to improve our delivery of services. we need to bring hope to a lot more people. we need to be a bigger tent. consistent with the things i have mentioned since the inauguration that i feel strongly about that resonate with communities, we need to get jobs out there. we need to get job training out there.

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i do have questions about the right place where to house hsa, given is an incredibly large department, making sure these issues are managed effectively within the department, but i also know that dcyf is a small organization and the department may not have the capacity to take this on. i do want to respect their has been a community process regarding this issue. i trust many of the stake holders involved in this process, but i wanted to state that concern today. looking forward to the final outcomes of this working group. thank you. supervisor chu: thank you for your comments, supervisor kim. you've already mentioned this, hydra, but even though they would not be part of the consolidated office -- the school district -- we have our kids that go there monday through friday. they have care before and after school, and various programs. having a conversation with the school district on these plans will also be an important piece of it. colleagues, we have a motion to continue item 12 to the call of the chair. i think we can do that without objection. thank you. please call item one. >> i

i think it is very upper river for hsa to provide the back- office functions for it. we will >> item #1 -- proposed annual appropriation ordnance for a select the department's for the city and county as of may 2012 for the fiscal year ending june 30, at 2013 and june 30, 2014. item #2, proposed annual salary ordinance for selected departments, ending june 30, 2013 and june 30, 2014. item #3, services previously approved can be performed by private contractor for a lower- cost than similar work performed by city and county employees for the fiscal years of 2012 and 2013 and fiscal years 2013 and 2014. employee parking management, admission booth, security comments a shuttle bus service, paratransit, security, parking citation and collection, meager collection including accounting, telling, transit shelter maintenance services and the public utilities commission. supervisor chu: all three of these are related to but it's coming up before us. the rent board, the permanent appeals board, they will be speaking about their budget tomorrow. tomorrow, we'll have the public ti

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we're working on price transparency and we're bringing out an expansion of hsa's.rt reform. a lot of these issues come together where we're breeding competition. putting the power back into the hands of the consumer which is the patient and taking it out of the bureaucratic hands which obamacare does. >> you say you have bipartisan support. in the house, this is probably passed because the republicans have control but bipartisan support in the senate. >> no, what i'm saying is i think these are ideas that can garner bipartisan support. right now, we see all democrats not willing to appeal obamacare. if you look at this, whether it's going to be next month and the supreme court's decision or it's going to be the election, i think the odds of dealing with health care again, getting a second kick of the cat is really going to happen. we have to engage in this conversation and i think my bill does that at least as a starting point to have that conversation. >> there's been a lot of conversation about the recall election that's coming up. governor scott walker under att